| NPI | 1730624719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DOAN Director Of Pharmacy 323-541-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA 2724) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |